FOR PROVIDERS

Refer a patient to Speechly

Connet children and families with convenient personalized online speech and language services.

Making a referral is simple

Prepare the referral form

Use your organizations referral form or physicians order.

Submit securely

Send referral through secure of encrypted email system to referrals@speechlytherapy.com

We contact the family

Our team reviews the referral and contacts the family about next steps.

What to include

Name, date of birth, and parent or guardian contact.

Insurance information

Patient information

Plan name, member ID, and a copy of the insurance card.

Physician order and relevant evaluations or clinical notes, when available.

Supporting records

Reason for referral

Diagnosis, concerns, and requested speech-language services.

Submit a secure referral

Send referrals and supporting records through your organization’s secure or encrypted email system.

referrals@speechlytherapy.com

Copy the email address above into your organization’s secure or encrypted email system.

Please do not send patient information through our general contact form or standard unencrypted email.

Contact Speechly and we’ll help you with the next step.

Questions about a referral?